HUD-52649 Statement of Homeowner Obligations

Housing Choice Voucher Program

52649

Housing Choice Voucher Program

OMB: 2577-0169

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Statement of Homeowner Obligations
Housing Choice Homeownership
Voucher Program

U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing

OMB Approval No. xxxx-xxxx
(exp. 99/99/9999)

Public Reporting Burden for this collection of information is estimated to average 0.25 hours per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. Do not send this completed form to either of the above addresses.
This collection of information is authorized under Section 8(y) of the U.S. Housing Act. The information sets forth the family's
obligations when participating in the homeownership program under the Housing Choice Voucher Program.

1.

Homeowner Obligations. A family participating in the

homeownership voucher program of the undersigned public
housing agency (PHA) must follow the rules listed below in
order to receive homeownership assistance. Any information
the family supplies must be true and complete. Each family
member (plus any PHA-approved live-in aide for rules associated with criminal activity or alcohol abuse) must:
A. Disclose and verify social security numbers and employer
identification numbers, sign and submit consent forms for
obtaining information (including criminal conviction records of
adult household members), and supply any other information
that the PHA or HUD determines to be necessary (including
evidence of citizenship or eligible immigration status, information for use in determining eligibility to receive homeownership
assistance, and information for use in a regularly scheduled
reexamination or interim reexamination of family income and
composition).
B. Submit any PHA-required reports on the family’s progress
in finding and purchasing a home.
C. Attend and satisfactorily complete any PHA-required
homeownership and housing counseling.
D. Select and pay for a pre-purchase inspection by an
independent professional inspector. The inspection must be
conducted in accordance with PHA requirements.
E. Enter into a contract of sale with the seller of the unit and
promptly provide a copy of the contract of sale to the PHA.
The provisions of the contract of sale must comply with PHA
requirements.
F. Obtain and maintain flood insurance for homes in special
flood hazard areas.
G. Comply with the terms of any mortgage securing debt
incurred to purchase the home (or any refinancing of such
debt).
H. Promptly notify the PHA in writing when (1) the family is
away from the home for an extended period of time in accordance with PHA policies, and (2) before the family moves out
of the home. Supply any information or certification requested
by the PHA to verify that the family is living in the home or

I.
Only use the assisted home for residence by the PHAapproved family members, live-in aide or foster child. No
other person may reside in the home. The home must be the
family’s only residence and no family member may have any
ownership interest in any other residential property. Any
legal profit making activities in the home must be incidental
to the primary use of the home as a residence. The family
must not lease any portion of the home or grounds.
J. Promptly notify the PHA in writing of the birth, adoption,
or court-awarded custody of a child, and request PHA written
approval to add any other family member as an occupant of
the home. Promptly notify the PHA in writing if any family
member no longer lives in the home.
K. Supply any information as required by the PHA or HUD
concerning: (1) any mortgage or other debt incurred to
purchase the home, any refinancing of such debt (including
information needed to determine whether the family has
defaulted on the debt, and the nature of any such default),
and information on any satisfaction or payment of the
mortgage debt; (2) any sale or other transfer of any interest in
the home; or (3) the family’s homeownership expenses.
L. Promptly notify the PHA in writing if the family defaults
on a mortgage securing any debt incurred to purchase the
home.
M. Not commit fraud, bribery, or any other corrupt or
criminal act in connection with any Federal housing program.
Not engage in drug-related criminal activity or violent criminal
activity. Not engage in other criminal activity that threatens
the health, safety or right to peaceful enjoyment of other
residents and persons residing in the immediate vicinity of
the premises. Not abuse alcohol in a way that threatens the
health, safety or right to peaceful enjoyment of other residents and persons residing in the immediate vicinity of the
premises. Not engage in or threaten abusive or violent
behavior toward PHA staff. Not engage in other criminal
activity which may threaten the health or safety of persons
performing a contract administration function or responsibility
on behalf of the PHA (including PHA staff and PHA contractor/subcontractor/agent staff).

information related to family absence from the home.
form HUD-52649 (05/13/2003)

ref. Handbook 7420.8

N.

Not lease, let, transfer or convey the home except to grant

payments contract for rent, damages to the unit, or other

a mortgage on the home for debt incurred to finance purchase
of the home or any refinancing of such debt.

amounts owed by the family. The family breaches an
agreement with the PHA to pay amounts owed to a PHA, or

O. Not receive homeownership voucher program assistance
while receiving another housing subsidy for the same home or

amounts paid to an owner by a PHA.
E. Any household member is subject to a lifetime registra-

a different unit under any duplicative Federal, State or local
housing assistance program.

tion requirement under a State sex offender registration
program.

P. Comply with any additional PHA requirements for family
search and purchase of a home and continuation of

F. Any household member has ever been convicted for
manufacture or production of methamphetamine on the

homeownership assistance for the family. The PHA must
attach to this document a list of any such requirements.

premises of federally assisted housing.
G. The family fails to comply, without good cause, with any

2. Termination of assistance. Homeownership assistance
may only be paid while the family is residing in the home. The
PHA may deny or terminate homeownership assistance for
any of the reasons listed below:
A. The family violates or has violated any family obligation
under section 1.
B. Any member of the family has been evicted from federally
assisted housing in the last five years, or any household
member has been evicted from federally assisted housing for
drug-related criminal activity in the last three years.
C. A PHA has ever terminated assistance under the
certificate or voucher program for any member of the family.
D. The family currently owes any money to the PHA or
another PHA in connection with Section 8 or public housing
assistance. The family has not reimbursed any PHA for

family self-sufficiency program contract of participation.
H. The family fails, willfully and persistently, to fulfill any
welfare-to-work program obligations.
I.
The family has been dispossessed from the home
pursuant to a judgment order of foreclosure on any mortgage
securing debt incurred to purchase the home (or any
refinancing of such debt).
J. The PHA determines that homeownership assistance
has been provided for the maximum term permitted under
the homeownership voucher program, or it has been 180
calendar days since the last homeownership assistance
payment on behalf of the family.
K. The PHA determines there is insufficient funding to
provide continued homeownership assistance.

amounts paid to an owner under a housing assistance
KEEP THIS DOCUMENT FOR YOUR RECORDS
Family
Name of Head of Household

Address, Telephone Number:

Names of Other Family Members

Signature of Family Representative

Date: (dd/mm/yyyy)

Public Housing Agency
Name of PHA

Address, Telephone Number:

PHA Representative Title
Signature of PHA Representative

Date: (dd/mm/yyyy)

form HUD-52649 (05/13/2003)

ref. Handbook 7420.8


File Typeapplication/pdf
File Title52649
Subject52649
AuthorH01634
File Modified2004-04-08
File Created2004-03-12

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